Organization
SOUTHERN SKY RECOVERY
Active
Other names
Southern Sky Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN SHEPARD NCC, M ED, MHA (CEO)
(912) 536-3173
Entity
Organization
Contact information
Practice address
60 PENNINGTON DR, BLUFFTON, SC 29910-6037
(912) 536-3173
Mailing address
60 PENNINGTON DR, BLUFFTON, SC 29910-6037
(912) 536-3173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/26/2024
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